MRS. JENNA PECK (NPI# 1518471374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518471374 |
Entity Type | Individual |
Full Name | MRS. JENNA PECK |
Credential | APRN |
Practice Address |
1661 Lucerne St Minden NV 89423-4381 |
Mailing Address |
Po Box 783 Genoa NV 89411-0783 |
Practice Telephone | 7753923232 |
Practice Fax Number | 7753923233 |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-11-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN001863 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1661 LUCERNE ST |
City | MINDEN |
State | NV |
Zip Code | 89423-4381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912971391 | Sue Onken Sanchez | Internal Medicine | 1661 Lucerne St, Minden, NV 89423-4381 | 2006-02-14 |
1407470800 | Sanchez Adult Medical Care | Internal Medicine | 1661 Lucerne St, Minden, NV 89423-4381 | 2020-06-01 |
1649534074 | Nichole Nex Schultz | Nurse Practitioner | 1661 Lucerne St, Minden, NV 89423-4381 | 2012-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
Find all providers in zip 89423 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962714196 | Christina Leach | Nurse Practitioner | 431 Homer Rd, Minden, LA 71055-2933 | 2010-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467898676 | Barbara Ann Busch | Nurse Practitioner | 10650 W Charleston Blvd, Las Vegas, NV 89135-1132 | 2013-05-14 |
1790012805 | Cynthia L. Sitar | Nurse Practitioner | 2231 W Charleston Blvd Fl 2, Las Vegas, NV 89102-2254 | 2009-11-10 |
1023298791 | Lorraine E Stewart | Nurse Practitioner | 3490 Martin Luther King Blvd., Suite 105, N. Las Vegas, NV 89032 | 2007-11-09 |
1275722464 | Elizabeth Ann Moore PC | Nurse Practitioner | 10521 Jeffreys St Ste 100, Henderson, NV 89052-4181 | 2007-10-24 |
1821291865 | Marla Weinberger Strobel | Nurse Practitioner | 5320 S Rainbow Blvd Ste 182, Las Vegas, NV 89118-1896 | 2007-06-07 |
1851399109 | Elizabeth Brewer | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2005-07-11 |
1669475612 | Debbie C Trotchie | Nurse Practitioner | 6140 S Fort Apache Rd Ste 110, Las Vegas, NV 89148 | 2005-05-23 |
1689280489 | Bernadette Marlene Santos | Nurse Practitioner | 6850 N Durango Dr Ste 310, Las Vegas, NV 89149-4597 | 2020-09-17 |
1568089720 | Stephanie Anah Apollo | Nurse Practitioner | 2011 Pinto Ln Ste 200, Las Vegas, NV 89106-4007 | 2020-07-02 |
1376174870 | Katie Ann Bischoff | Nurse Practitioner | 645 N Arlington Ave Ste 400, Reno, NV 89503-4451 | 2020-02-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.